Individual provider Active NPI

Wendy Velazco-Weiss

  • Clinical Social Worker
  • Herndon, VA
National Provider Identifier
1023476439
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009698 Issued in VA
Practice address
431 Carlisle Dr Ste B
Herndon, VA 20170-5617
Phone
(703) 940-5140
NPI assigned
Feb 1, 2016
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19383 MD
Clinical Social Worker 1041C0700X 19383 MD
Clinical Social Worker 1041C0700X 0904009698 VA Primary

Addresses

Primary practice location

431 Carlisle Dr Ste B
Herndon, VA 20170-5617

Mailing address

431 Carlisle Dr Ste B
Herndon, VA 20170-5617
Phone (703) 940-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19383MDMDSocial Worker
0904009698VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Connections LLC Clinical CurrentSince Dec 1, 2020 Accepting new patients

Locations

10560 Main St
Ph 4
Fairfax, VA 22030
Phone (571) 383-2540

431 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (703) 940-5140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1023476439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705617",
            "telephone_number": "703-940-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705617",
            "telephone_number": "703-940-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZCO-WEISS",
        "first_name": "WENDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19383",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19383",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.